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DIR - UTILIZATION REVIEW / MGMT

Posted 2 days ago
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DIR - UTILIZATION REVIEW / MGMT

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  • CAPE GIRARDEAU, Missouri
  • Behavioral Health - Counselor, Behavioral Health - Therapist, Licensed Practical Nurse (LPN), Registered Nurse (RN)
  • Day
  • 335098
  • Southeast Behavioral Hospital

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Job Description

Responsibilities

Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

www.uhs.com

Southeast Behavioral Hospital

Southeast Behavioral Hospital is excited to begin offering a full continuum of inpatient and outpatient services to the people of Southeast Missouri. Our 102-provides a wide range of mental, emotional and behavioral health services for children, teens, adults and seniors experiencing mental health issues, such as depression, anxiety and co-occurring substance use issues. Located on the banks of the Mississippi River, the Cape Girardeau region has long been an area of vibrant commerce and abundance, with significant roots in agriculture and trading posts which produced generations of people full of pride and a determination to put in a hard day’s work. This regional economy enjoys many diverse industry sectors, each thriving and enjoying the fruits of their labor. The Cape Girardeau region has significant reach for its consumers and a labor force encompassing a 40-mile radius.

https://southeastbehavioral.com/

Qualifications

POSITION SUMMARY

The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient and Out Patient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

Qualifications

Education: Degree in nursing, social work, mental health/behavioral sciences, or related field. Combination of education and experience may be considered.

Experience: A minimum of five (5) years’ direct clinical experience in a psychiatric or mental health treatment setting preferred. A minimum of one year of managing a related function is preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

Licensure: LMSW, LPC, RN or LVN licensure is required.

Benefit Highlights

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Tuition Assistance
  • More information is available on our Benefits Guest Website: www.benefits.uhsguest.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay Transparency

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.

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